NPI | 1497773055 |
---|---|
Doing Business As | POMPANO ADULT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ALEXANDER FERNANDEZ SVP/CFO 954-473-7315 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-04-01 |