| NPI | 1346423654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIYA BEYLIN Physician 954-389-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL PO2983) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |