| NPI | 1821251331 |
|---|---|
| Other Name | MARTIN LUTHER KING & MARTIN LUTHER KING UCC |
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID RADZIEWICZ CFO 305-232-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| 251S00000X | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-08-29 |