| NPI | 1780975300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES MICHAEL LAVENTURE CEO Manager 954-533-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS-000748) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |