| NPI | 1407864481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERWIN WESTERBURGER Owner 954-578-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL DS2368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME94228) |
| 207Q00000X Family Medicine (Licence: FL DS1649) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-11-05 |