| NPI | 1245538503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHBOOBEH GOLTAPEH Medical Director 3058-549-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 50341) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |