| NPI | 1477201523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE A MARSDEN Owner 954-687-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |