| NPI | 1265929012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAYEMI OLAJIDE OSLYEMI President 561-602-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 163WX1500X Registered Nurse Ostomy Care | |
| 261QR0200X Clinic/Center Radiology | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |