| NPI | 1962844043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MERRITT Director 321-527-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL EXEMPT-NONPROFIT) |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: FL EXEMPT-NONPROFIT) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |