| NPI | 1518522275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAN GOMEZ Mgr 954-643-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-09-11 |