| NPI | 1356722995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS SALAZAR Physician/ Managing Director/ Pi 954-604-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QR1100X Clinic/Center Research |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QS1000X Clinic/Center Student Health | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 261QU0200X Clinic/Center Urgent Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2017-03-31 |