| NPI | 1043699283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH SILVA Owner 954-439-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |