| NPI | 1417348764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN BALL Owner 786-378-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL PT10683) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |