| NPI | 1023251683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANDREWS Organizer/Member 954-980-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL RT996) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |