| NPI | 1760872600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARESH MANEKLAL DAVDA Owner 321-837-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL PA9101508) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |