| NPI | 1124469697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL F JACQUES Owner 954-457-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME32051) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |