NPI | 1083073423 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE RUBBBY ROGER President 561-707-8542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME119734) |
Enumeration Date | 2016-02-13 |
Last Update Date | 2016-02-13 |