| NPI | 1518499110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BARON Owner 561-629-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL AP3649) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2020-03-11 |