NPI | 1053615658 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY ELIZABETH ELLIS Physician 954-258-0716 |
Organization Subpart ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 20A11353) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2010-12-22 |