| NPI | 1033716279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ALLAN RUSKIN CEO/Finance 954-900-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-08-13 |