| NPI | 1740290766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH CORDERO President 954-421-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC 6589) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-01-09 |