| NPI | 1164556387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MILLER President 561-691-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME34424) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-09-25 |