| NPI | 1699045757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B SNYDER Owner 561-798-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL cH5042) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |