| 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 |