| NPI | 1568497352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLAINE MARIE CHAMBLIN Physician 305-200-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 88893) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-07-13 |