| NPI | 1326353269 |
|---|---|
| Doing Business As | MEDEBRA INC |
| Entity Type | Organization |
| Authorized Contact | KIM PAUCEK HALEY Owner 954-763-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |