| NPI | 1417481250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA GOTHELF Physician Assistant 954-888-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL PA9109573) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |