| NPI | 1467894212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE NICOLAS Owner 954-633-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9838) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC9838) |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC9838) | |
| 261QR0200X Clinic/Center, Radiology (Licence: FL HCC9838) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-05-13 |