| NPI | 1578691218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI WONG Chief Executive Officer 954-442-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me62898) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-11-08 |