| NPI | 1194195909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOPE Pharmacist 954-675-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL PS54032) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |