| NPI | 1134544612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA HORN Owner/Provider 321-356-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP9180991) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |