| NPI | 1952905051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDO JEAN FRANCOIS Administrator 754-366-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |