| NPI | 1083950752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA MARIE HOLMES Office Manager 561-251-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL 800026636) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |