| NPI | 1386915262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BOWES Owner 561-424-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL mm9125) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |