| NPI | 1508229436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WIGUTOW Dietitian 954-614-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |