| NPI | 1003911975 |
|---|---|
| Professional Name | CORAL SPRINGS WELLNE CENTER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME94423) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME94423) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-04-13 |