| NPI | 1497063184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA METER Patient Account Representative 954-745-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL 103TB0200X) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |