| NPI | 1972824613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. RAHAT FADERANI Owner/President 561-965-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL OS10474) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |