NPI | 1447412051 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE TROMANS Office Manager 954-816-7976 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL me87331) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2013-08-19 |