| NPI | 1477724169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIERMALA WASHINGTON Treasurer 954-783-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2025-02-07 |