| NPI | 1639842099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIKA MARIE ECHEVARRIA Credentialing 954-505-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2022-01-28 |