| NPI | 1548587447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEVE HASTON Managing Member 954-484-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 55294) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2010-05-01 |