| NPI | 1558510602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYATH JAVEED President 1727-944-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 71161) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2008-09-13 |