| NPI | 1235985318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA B ELLIS Physician / General Partner 786-419-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |