| NPI | 1467943126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS G FERNANDEZ CEO 954-639-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC11480) |
| Additional Taxonomies | 207N00000X Dermatology |
| 208D00000X General Practice | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-08-29 |