| NPI | 1831487594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGE BAUMERT Owner 561-355-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL MM27241) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL MA59124) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |