| NPI | 1477848406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE L FOGAROS Administrator 954-433-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |