| NPI | 1548541998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MERSON Medical Director 954-934-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: FL ME56773) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |