| NPI | 1942175336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE MARTIN CFO 954-473-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-08 |