| NPI | 1437225521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MY SEIDE President 786-402-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME81771) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |