| NPI | 1255475190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HERSHMAN Owner 305-221-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-12-28 |