| NPI | 1194588392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA GHIRAGOSSIAN Administrator 561-268-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-01-07 |