| NPI | 1750966818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZET DIBERNARDO CEO 954-732-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-02-22 |