| NPI | 1306884861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN POLNER Owner 954-430-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-09-13 |