NPI | 1043651672 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN SIEGEL Physician 561-416-1145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME57372) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |