| NPI | 1114353083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GROSS President 305-672-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0074984) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |