| NPI | 1174608699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN PAPPAS Practice Administrator 954-362-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME80305) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-10-24 |