| NPI | 1730628066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA FAITH ROJAS Sole Member 954-243-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9289031) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |