| NPI | 1487100533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARPANA SHIVDASANI Physicians Assistant 1561-562-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PA9108944) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |