| 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 |