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 |