| NPI | 1407927684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL CORDOVES Registered Licensed Dietitian 954-816-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL ND 3415) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |