| NPI | 1366071342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYONIE H CHARLES Owner 561-800-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-08-31 |