| NPI | 1053719419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M BLUMENTHAL Administrator 954-416-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS6342) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |