NPI | 1669481008 |
---|---|
Other Name | NONE |
Entity Type | Organization |
Authorized Contact | DAPHNE LEONIE REYNOLDS A RN P 786-263-4935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 1706182) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2023-09-06 |