NPI | 1376215111 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS SUITE Owner/Medical Director 786-661-7830 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
208D00000X General Practice | |
Enumeration Date | 2021-09-30 |
Last Update Date | 2025-09-11 |