NPI | 1073905568 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN KONDAS Officer 954-838-2371 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-02-20 |
Last Update Date | 2019-09-11 |