| NPI | 1750422317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BACON-GREEN President 954-450-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0044617) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |