| NPI | 1255581500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BOURGOUIN Owner 954-394-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP2457) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL AP2457) |
| 251E00000X Home Health (Licence: FL AP2457) | |
| 251V00000X Voluntary or Charitable (Licence: FL AP2457) | |
| 261QC1800X (Licence: FL AP2457) | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: FL AP2457) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL AP2457) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: FL AP2457) | |
| 261QR0800X Clinic/Center, Recovery Care (Licence: FL AP2457) | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: FL AP2457) | |
| 273Y00000X Rehabilitation Unit (Licence: FL AP2457) | |
| 275N00000X Medicare Defined Swing Bed Unit (Licence: FL AP2457) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: FL AP2457) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL AP2457) | |
| 305S00000X Point of Service (Licence: FL AP2457) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |