| NPI | 1881425882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYONI BROWN Manager 561-329-7059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 305S00000X Point of Service | |
| 310400000X Assisted Living Facility | |
| 331L00000X Blood Bank | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |