| NPI | 1679737977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A. ALLAN Owner 561-455-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH9623) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |