NPI | 1285909440 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL MARTY GARCIA Medical Director/Managing Member 954-306-6276 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME42709) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME42709) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-21 |