| NPI | 1649438912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY M DEAN Medical Doctor 561-391-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME59524) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |