NPI | 1477801942 |
---|---|
Entity Type | Organization |
Authorized Contact | TABARE D TABAR Owner/President 305-439-1855 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL PA9105645) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-08-15 |