| NPI | 1811104409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHEVERE Owner 954-802-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME49604) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME37619) |
| 225100000X Physical Therapist (Licence: FL PT19924) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |