| NPI | 1356496137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALUJA VARGHESE Owner 561-625-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME86718) |
| Additional Taxonomies | 202K00000X (Licence: FL ME85291) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-06-20 |