| NPI | 1063671246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD EZRA EKLADIOS President 954-963-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL me0064340) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-08-26 |