| NPI | 1912281809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ARROYO Practic Manager 954-974-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL CH7752) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |