| NPI | 1093195240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUNDA A. GIBSON Medical Director 305-621-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89553) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2024-01-09 |