| NPI | 1376083972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA CASANOVA Manager 561-951-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME115874) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |