| NPI | 1255103842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LAMARCA Vice President 954-564-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |