| NPI | 1477999100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY V SWAIN CEO 786-953-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11248) |
| Additional Taxonomies | 261Q00000X (Licence: FL HCC8984) |
| 208D00000X General Practice (Licence: FL 11248) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL 11248) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2015-01-16 |