| NPI | 1891092862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT OZAKI President 954-927-5738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL OS 8830) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |