| NPI | 1861016115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT C REYNOLDS Medical Doctor 954-368-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-02-23 |