| NPI | 1427270412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK J. MICHEL CEO 305-759-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-12-15 |