| NPI | 1982074977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE M HUNTER Office Manager 305-304-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME39762) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |