| NPI | 1750436424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELENA SOUTO President 954-535-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC 7444) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |