| NPI | 1568854180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE DACK Senior Search Consultant 954-636-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL PT 29236) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |