| NPI | 1225301526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA L BANSAL Medical Director 561-746-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0049954) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0076025) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME0049954) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |