| NPI | 1992931018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY SOOD Director 954-443-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME91483) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2013-03-07 |