| NPI | 1508178583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZIE ROY Manager 305-378-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX 1611842151) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-09-01 |