| NPI | 1366914251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMION BAKER Executive Director/President 561-523-4589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-08-04 |