| NPI | 1063457570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DYER President 772-286-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS8635) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-12-02 |