| NPI | 1528219912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D DAVENPORT Director 305-666-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME96446) |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2013-01-15 |