| NPI | 1043775976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEENA R GUPTA Authorized Official 954-968-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2026-07-02 |