| NPI | 1992375281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIKA MARIE ECHEVARRIA Credentialing Administrator 954-505-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-10-06 |