| NPI | 1770716623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSAD BEGUM Owner 954-676-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME7377870) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2013-05-01 |