| NPI | 1841555786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME OBED Medical Director 954-990-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS9463) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2014-01-29 |