| NPI | 1114269933 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SIMON C ABELSON President 786-269-7939 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME93384) | 
| Enumeration Date | 2013-03-19 | 
| Last Update Date | 2017-01-04 |