| NPI | 1295158483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NGUYEN VAN BINH Owner 954-540-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 4646080636) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |