| NPI | 1750603510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILJANA BASKOT Owner 954-888-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME70813) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2021-02-01 |