NPI | 1699186361 |
---|---|
Entity Type | Organization |
Authorized Contact | NAUMAN ZAFFAR CEO 863-420-7617 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL P14000043063) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2023-03-07 |