| NPI | 1912756545 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MAGALIE PIERRE Np 954-544-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-09-09 |