| NPI | 1205406055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARAM C BLOOM General Counsel 561-222-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 291U00000X Clinical Medical Laboratory | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-07-19 |