| NPI | 1467891176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH SKELLCHOCK Owner/Physician 561-756-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 88323) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-08-15 |