| NPI | 1376723031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HENREY SAHAI Owner 386-677-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME58322) |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2007-11-10 |