| NPI | 1437444304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SLACK Owner/President 305-778-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME105733) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2011-06-18 |