| NPI | 1326034331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARIE ROBERTS Physician, CEO 305-895-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0076863) |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2008-03-24 |