| NPI | 1659335503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M QUADARA Owner/President 954-946-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL AHCA# 5676) |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2018-06-21 |