| NPI | 1689909558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONKA SCHWARTZ Owner 305-866-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME0025511) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2016-11-15 |