| NPI | 1083858203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A EUSTACE Billing Manager 305-273-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME26900) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |