| NPI | 1649589037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL FORZAANO CEO 954-755-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL AP2889) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |