| 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 |