| NPI | 1750532628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE A DE ZAGO President 954-609-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9174274) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |