| NPI | 1558409540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRODES H HARTLEY Chief Officer President 305-252-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PH6037) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-11-26 |