| NPI | 1114795721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISTAIR MCDONALD SMITH CEO/Physician Assistant 954-993-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |