| NPI | 1538198783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILOLA OLUWAKEMI DARAMOLA-OGUNWUYI President 321-214-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL L06000028969) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-03-03 |