| NPI | 1821391996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CHARLEY CHIN President 305-653-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 035766) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |