| NPI | 1689769614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER G WAYNE President 305-576-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS5799) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS7523) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |