| NPI | 1366607335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA RABKIN President 386-445-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 92879) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |