| NPI | 1376095281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LUISO Billing 561-629-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME110821) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |