| NPI | 1629481809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE CASANOVA Medical Director 954-202-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME78770) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-10-18 |