NPI | 1568639532 |
---|---|
Entity Type | Organization |
Authorized Contact | ISRAEL L GRINBERG Medical Director 305-696-0842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL waived) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2008-05-09 |