| NPI | 1336843325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FITZALLEN AMBROSE Pd 954-638-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-07-26 |