| NPI | 1417148032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG H TSAI Owner 386-676-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME64530) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2009-04-15 |