| NPI | 1750770715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L ODELL Owner/President 954-563-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME59026) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |