| NPI | 1619477288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ROME BENDESTON Sole Proprietor 561-328-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME38840) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |