| NPI | 1528326162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZWAN KHAN Operations Manager 786-352-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100359) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2013-04-21 |