| NPI | 1720570252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M L BATTO Principal Officer 954-275-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL 9257932) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |