| NPI | 1427461466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA JAIN Owner/Md 321-266-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 96857) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |