| NPI | 1366833568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSEPH D FELEKE Pres 305-775-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL AP3125) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |