| NPI | 1437992666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DENIS Owner 954-614-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2026-09-21 |