| NPI | 1720439557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETA DADASHEVA President 954-924-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL os10911) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-01-14 |