| NPI | 1063666139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN PELLER Mgrm 954-476-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME53245) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2008-11-16 |