| NPI | 1659177327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONEL DESROSIERS Owner 954-824-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |