| NPI | 1417249731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY A SCOPE Supervisor 954-327-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL SW9859) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |