| NPI | 1750635090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALEX MCCLAIN Medical Director 954-218-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 107651) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2013-02-07 |