| NPI | 1407212327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL BRAY CEO 954-254-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-07-12 |