| NPI | 1407222441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR BAILEY Owner/Medical Director 305-223-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9465) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2017-05-12 |