| NPI | 1083635973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOACHIM MCKENZIE President 954-889-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME87219) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-08-06 |