| NPI | 1629231246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS O DARE Medical Director 561-844-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-02-22 |