| NPI | 1891015640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN SMITH Office Manager 954-435-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME41669) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2013-04-15 |