| NPI | 1982008199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID CHAUDRY Administrator 561-386-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0071079) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |