| NPI | 1144590316 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OTILIA CHIRINOS Office Manager 954-587-0257  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0026857)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0026857)  | 
| Enumeration Date | 2012-01-05 | 
| Last Update Date | 2012-01-05 |