| NPI | 1679106462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE AYITI NAU Provider 954-800-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2022-09-10 |