| NPI | 1063841880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E BAKER President 954-366-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME86962) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |