| NPI | 1215234810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BRADLEY Office Manager 954-748-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0055266) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2021-05-10 |