NPI | 1124216122 |
---|---|
Entity Type | Organization |
Authorized Contact | RAEL MICHAEL GILCHRIST President 954-981-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me78747) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch6607) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2010-08-16 |