| NPI | 1689807638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZANNA SHERENE HAFFIZULLA Physician 954-862-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME86693) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |