| NPI | 1932410222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY RODRIGUEZ President 954-610-7739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0058775) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2013-11-08 |