NPI | 1700659059 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA SCHULTZ CFO 305-587-7375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-10-30 |