| NPI | 1508682089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICE BLAISE Chief Executive Officer, Owner 954-681-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 175F00000X Naturopath |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |