| NPI | 1780814103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL BLAKE RIDGWAY Pres 561-964-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME54995) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-08-25 |