| NPI | 1154177012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M SUASTEGUI Medical Director 954-483-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-02-14 |