| NPI | 1861929077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EREZ COHEN Owner 954-584-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OS4663) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-10-12 |