| NPI | 1770277063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLINE JEAN-PHILIPPE Advanced Practice Nurse 954-854-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-20 |