| NPI | 1346542578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANS MICHAEL LOUIS-CHARLES Vice President 954-290-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME 93889) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |