| NPI | 1760581789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BURNS Owner 954-236-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL OT0000761) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL OT0000761) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-05-19 |