| NPI | 1124220967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE FADULLON BAHTA President 954-392-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-12-06 |