| NPI | 1548517758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DAVIS Owner/President 954-430-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL 20090494) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |