| NPI | 1912021510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MONK Clinic Administrator 305-535-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-05-27 |