| NPI | 1386918621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILANA ROBINSON DAVIS Medical Assistant 954-781-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 45032) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-09-24 |