| NPI | 1588693469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES FEDELE Secretary 561-630-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL hcc6647) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |