| NPI | 1851053920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIKA MARIE ECHEVARRIA Credentialing 954-505-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-08 |