| NPI | 1629222104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GOLDBERG Owner 305-852-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME64068) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2009-04-24 |