| NPI | 1780623876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY MURAT Director 305-232-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME85219) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-01-11 |