| NPI | 1972541019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY MESTER President 954-581-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC5365) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |