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 | 2024-09-04 |