| NPI | 1326102252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN EDWARD SUTHERLAND Physician 954-772-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 30881) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2009-08-21 |