| NPI | 1144426040 |
|---|---|
| Doing Business As | INTERNAL MEDICINE & GERIATRIC HEALTH |
| Entity Type | Organization |
| Authorized Contact | THERESA FORTALEZA-DAWSON Owner 954-938-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME81298) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-01-24 |