NPI | 1265777486 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA D FLAND Office Manager 561-641-7666 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL PO1003) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-12-06 |