| NPI | 1205819752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. WEBER Chief 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |