| NPI | 1740330737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DELK Owner 321-784-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL me0065273) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |