| NPI | 1457304040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND STEPNOWSKI Medical Director 954-771-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center VA (Licence: FL PT 7809) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |