NPI | 1497138952 |
---|---|
Entity Type | Organization |
Authorized Contact | RONIT KESSOUS Owner 786-802-2089 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME94530) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2016-07-06 |