NPI | 1285039248 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA BILU MARTIN Owner 305-335-5423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME100331) |
Enumeration Date | 2014-11-01 |
Last Update Date | 2014-11-01 |