| NPI | 1326750241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA CHANG COO 954-993-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |