| NPI | 1972694073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A REILOVA M.D./Medical Director 321-956-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 291U00000X) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |