| NPI | 1972216778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M ALLEN President 786-541-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-01-18 |