| 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 |