| NPI | 1356040026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA SILVA Director Of Credentialing 561-432-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |