| NPI | 1639535727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAIM J MARGOLIN President 239-565-9266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC9146) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-12-26 |