NPI | 1356585475 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLORUNSO IBRAHEEM President 305-776-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL P09000013502) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2023-01-18 |