| NPI | 1487160701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN M SHIKARA President 561-779-1652 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-02-07 |