| NPI | 1255573879 |
|---|---|
| Doing Business As | BODYLOGICMD OF FORT LAUDERDALE |
| Entity Type | Organization |
| Authorized Contact | JEFF THACKREY Director 954-688-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL ME93287) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2014-10-15 |