| NPI | 1043514953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GELBARD Pvd 954-582-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME59560) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |