| NPI | 1396258083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA C FERNANDEZ President 954-744-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |