| NPI | 1194963744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE ELLEN MORELL Medical Director 561-955-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 0054973) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |