| NPI | 1215053731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAN S GULATI Director 561-641-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME69967) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-06-15 |