| NPI | 1174743744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE GARZON Practice Administrator 954-763-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-08-12 |