| NPI | 1083877435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER D WARGO VP/Treasurer 954-731-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS3754) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2013-08-22 |