| NPI | 1306878210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TOLLIVER VP 786-662-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-03-15 |