| NPI | 1366962037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LUNDY CEO 954-304-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |