| NPI | 1306161666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A LOCUS Physicians Assistant 954-731-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL PA2569) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |