| NPI | 1457794034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELUCA Cmo 561-899-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME102199) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |