| NPI | 1417906561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAM WALLS Owner/President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME43546) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-17 |