| NPI | 1639750458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMA SAMRA Clinical Operations COO Rdinator 305-974-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-03-08 |