| NPI | 1043757115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER HOWARD BARON President 954-800-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA 3375) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |