| NPI | 1366136814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN LICHT Managing Director 954-906-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 363LF0000X Nurse Practitioner, Family | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-02-02 |