| NPI | 1497054068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON TUCKLER President 305-598-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 037558) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |