| NPI | 1972878346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUTTY K CHANDRAN President/Owner 954-755-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME54935) |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2012-03-18 |