| NPI | 1346630043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN DIAMOND Physician 305-279-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 43348) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |