| NPI | 1134302201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ARTHUR LEMPERT National Medical Director 561-495-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: FL PN5150454) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |