| NPI | 1740573179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY MARTINEZ Medical Assistant 954-791-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL OS3372) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |