NPI | 1972904027 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCNER NELSON Senior Member 305-318-1252 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL Me107333) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2014-09-09 |