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 |