NPI | 1497773055 |
---|---|
Doing Business As | POMPANO ADULT PRIMARY CARE |
Doing Business As | ALW ADULT CLINIC |
Entity Type | Organization |
Authorized Contact | ALISA BERT Interim CFO 954-473-7483 |
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 | 2024-10-17 |