| NPI | 1487970810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S ANSARA President 954-942-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME10062) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-12 |