NPI | 1316105414 |
---|---|
Entity Type | Organization |
Authorized Contact | WINSTON E MANGA Owner 305-342-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC8179) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2011-11-02 |