NPI | 1730227166 |
---|---|
Doing Business As | MARTIN LUTHER KING CLINIC |
Entity Type | Organization |
Authorized Contact | BRODES H HARTLEY Chief Executive Officer President 305-252-4853 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PH2876) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-11-26 |