| NPI | 1861303737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTUSHA VAN KANTEN Owner 954-740-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support |
| Additional Taxonomies | 202D00000X Integrative Medicine |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-09-16 |
| Last Update Date | 2026-09-16 |