NPI | 1639503899 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN HEALY Owner 239-565-9529 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MM28453) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2013-08-23 |