| NPI | 1043690456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN F COLMAN President 954-604-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |