| NPI | 1568767952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L SANDERS-CEPEDA President/Owner 954-327-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS9489) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-03-28 |