| NPI | 1740792126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY KOSTINER Manager 305-761-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-04-11 |