NPI | 1386306306 |
---|---|
Entity Type | Organization |
Authorized Contact | HERIKA MARIE ECHEVARRIA Credentialing 954-505-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-19 |