| NPI | 1861740706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI KING ETCHBERGER Chief Executive Officer 561-964-7880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |