| NPI | 1518107713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID PATRICIA SOLOMON Director 305-949-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL OS8956) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: FL OS8956) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |