| NPI | 1275719643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN E. HALE Medical Doctor 954-474-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME46937) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2010-02-22 |