| NPI | 1689887325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KATZ Owner, Doctor 305-531-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN-15193) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |