| NPI | 1770525453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N TUCKER Owner 561-835-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME 9619) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-10-07 |