| NPI | 1881883676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABIB AZIZI President 239-303-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL opc 3682) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2009-07-16 |