| NPI | 1730569021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIRON BELTZER Owner 305-510-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME105585) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-08-27 |