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 |