| NPI | 1437798139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANUEL DORILAS President 954-478-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2025-02-18 |