| NPI | 1811059009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HENRY WAND President 954-344-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 0041117) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-10-18 |