| NPI | 1740538453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M JABLON Owner/President 954-510-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL CH4007) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |