| NPI | 1861713836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA T ORENSTEIN Office Manager 305-559-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME104791) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |