| NPI | 1881970168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLISSA GRABER President 954-296-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: FL ME82335) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2012-08-14 |