| NPI | 1417778713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KALEEL Owner 954-654-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-31 |