| NPI | 1457475477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SONTAG Registered Agent 305-891-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP845) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |