| NPI | 1548973431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA VALENTINE Owner 954-530-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-03-10 |