| NPI | 1003182056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE TYNDALE President 954-915-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME84420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84420) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL PT27280) | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2810312) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2015-04-21 |