| NPI | 1790940138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRAKANT S SHAD President 305-382-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 0061676) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-08-26 |