| NPI | 1467834515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J VIRGILIO Owner 954-364-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ch8940) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |