| NPI | 1568701761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELUCA CEO 954-583-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME102199) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |