| NPI | 1376581264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A. FRALICH Medical Director 954-772-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 78680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 92140) |
| 207R00000X Internal Medicine (Licence: FL ME 94965) | |
| 207Q00000X Family Medicine (Licence: FL OS9426) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |