| NPI | 1023262953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES L. BUSSIE Owner 561-799-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL CH5093) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |