| NPI | 1679938823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGI YOUSSEF President 321-356-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2020-06-11 |