NPI | 1770850612 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER N ARUMUGAM P/D 863-471-9377 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 604550) |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: FL 604550) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2015-10-05 |