NPI | 1366682619 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY JOEL KAUFMAN CFO 954-695-3996 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC5536) |
Enumeration Date | 2009-02-26 |
Last Update Date | 2009-02-26 |