| NPI | 1932558376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ROGER SILFEN Owner 561-338-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL MEOO57973) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |