| NPI | 1477185882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN LASTOFSKY Owner 561-434-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |