| NPI | 1811352420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DIXON Owner 954-985-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME49983) |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2015-12-24 |