NPI | 1093064198 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY KONDAS Officer 954-838-2371 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2012-09-05 |
Last Update Date | 2019-09-25 |