| NPI | 1184730202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAWNDRIA BRANTLEY Administrator 954-484-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-04-09 |