| NPI | 1366786931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREDERICK VANDERBROOK President 561-961-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |