| NPI | 1053701714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE FRENCH Owner 561-409-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL CH7762) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |