| 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 |