| NPI | 1881941821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA AIKEN Owner 305-510-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME106460) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-20 |