| NPI | 1225675226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH BRUDER C0 Owner/CEO 954-214-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2020-05-12 |