| NPI | 1558989210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON JAY BRAUN AO / Owner 305-674-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |