| NPI | 1023866373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GERARD FUNSCH President 305-771-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |