| NPI | 1003906819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A FISCHMAN Office Manager 772-569-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME25700) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME25700) |
| 207R00000X Internal Medicine (Licence: FL ME0089867) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME62133) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME44223) | |
| 363A00000X Physician Assistant (Licence: FL PA91103803) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-09-26 |