| NPI | 1629092234 |
|---|---|
| Doing Business As | OPA-LOCKA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH JOHNSON Administrator 305-688-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME0007088) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-09-08 |