| NPI | 1063728822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WEIN CEO 772-299-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME0066191) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |