NPI | 1629316070 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN NEWMAN Medical Director 305-663-5696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2013-01-18 |
Last Update Date | 2013-01-18 |