| NPI | 1215659933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE FIGAROLA President 772-241-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-04-12 |