| NPI | 1568769230 |
|---|---|
| Other Name | LIGHT OF THE WORLD CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICARDO R REYES Medical Director 954-563-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |