| NPI | 1932824703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHEHAN CEO 561-806-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |