| NPI | 1962785683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN DAYTON President 305-931-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2018-08-08 |