| NPI | 1033282322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAXMAN COO 954-455-2132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL os7932) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL me0038105) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-09-27 |