| NPI | 1134666423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B CRESCITELLI Physician/Owner 954-383-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 7485) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |