| NPI | 1386985950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L MARDER President 772-335-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS4773) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |