| NPI | 1689731432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN YVONNE LYN Owner 954-967-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 06000059) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-11-04 |