| NPI | 1467627208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SUITE President 954-431-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL me 59343) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |