| NPI | 1881839074 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDA ELLEN LEGUNN President 954-428-6999  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL mm13444)  | 
| Enumeration Date | 2008-12-03 | 
| Last Update Date | 2008-12-03 |