| NPI | 1962357897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN AJAMI Owner 954-562-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |