| NPI | 1073263265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WEBER Authorized Official 786-340-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-05-10 |