| NPI | 1932550480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BAKER Medical Director 305-695-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: FL OS12833) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |