| NPI | 1851434039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELTON PAUL ROSENBLATT Owner 305-666-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL DN0001029) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |