| NPI | 1417704198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID RADZIEWICZ CFO 305-232-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |