| NPI | 1629499835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MAULDIN Owner 954-907-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: FL OT5972) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2018-06-20 |