| NPI | 1063654671 |
|---|---|
| Doing Business As | BODYLOGICMD OF PALM BEACHES |
| Entity Type | Organization |
| Authorized Contact | MIKHAIL BERMAN Director 888-804-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME45620) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |