| NPI | 1912497827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY VASSILAKIS Owner 386-212-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME91672) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |