| NPI | 1871748558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE ROMERO Doctor/Manager 954-553-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL os 6934) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL os 6955) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2014-02-22 |