| NPI | 1639524010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BORNSTEIN Doctor 407-310-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL po1420) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-18 |