| NPI | 1932455318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELUCA Mgmr 561-692-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME102199) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |