| NPI | 1326077207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES FEDELE Secretary 954-907-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC6468) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-03-05 |