| NPI | 1982931424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORIAN President 305-385-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME056235) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |