| NPI | 1699905729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA SUDAKOV CEO 954-391-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME85624) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |