| NPI | 1881096121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA F COOPER Owner 954-661-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME57999) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2025-10-18 |