| NPI | 1497378624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA F COOPER Owner 954-661-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 291U00000X Clinical Medical Laboratory | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2025-10-18 |