| NPI | 1770807455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM KEITH LAX President 954-292-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: FL ND2293) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |