| NPI | 1790985422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDY D. MARCELIN President 561-734-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME76514) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-07-05 |