| NPI | 1942034863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE LAROSE President 954-595-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |