NPI | 1659822922 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C LANGLEY Sole Shareholder 305-294-1024 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME 0048558) |
Enumeration Date | 2016-10-20 |
Last Update Date | 2016-10-20 |