| NPI | 1760524698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY IRWIN Billing Specialist 305-292-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL 471620028802) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |