| NPI | 1407247232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VICTOR CUSTURERI Ownerphysician 561-329-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 034912) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |