| NPI | 1053646174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA R BRADLEY Md 954-634-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 94814) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2013-02-26 |