| NPI | 1376069310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHORT Pd 954-632-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |