| NPI | 1861795221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FEAGIN Administrator 954-455-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME18438) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |