| NPI | 1902340045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA JENSEN President 561-272-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 7191) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |