| NPI | 1194704544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASIM NIAZI Corporate Office 321-636-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME58732) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2013-04-12 |