| NPI | 1003159963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVEL CRISTINA DE FREITAS Medical Director 954-391-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME107216) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |