| NPI | 1093944985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BLUM Owner 954-441-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH6210) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL CH6210) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |