| NPI | 1366875387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASFI A MAKAR Medical Director 321-960-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center Oncology, Radiation (Licence: FL ME56764) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |