| NPI | 1972614410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO LEE Owner/Operator 386-756-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: FL RN 9184419) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |