| NPI | 1124129408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE ANNE GOVERNALE Administrator 561-819-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-12-02 |