| NPI | 1417900994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL DOMENECH Owner 954-253-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME 78342) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-03-13 |