| NPI | 1639569122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA C. MORRIS Physician/Owner 954-575-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME85521) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |