| NPI | 1427311182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RAHAMAN CEO 954-294-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL cgc1517172) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |