| NPI | 1083033559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAN NICOLE LEZARK Practice Manager 561-886-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: FL ME70312) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-09-14 |