| NPI | 1497068472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELLY WOLKOV Officer/Director 954-922-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0051678) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-01-06 |