| NPI | 1932542784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCHKA PROCHETTE President 954-876-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC5020) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |