| NPI | 1164041711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN C HIGGINS Owner 954-932-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2021-04-26 |