| NPI | 1043621964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH PEREZ Pharmacist 561-400-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL PS46994) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |