| NPI | 1447266085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK TACKEY Managing Member 561-374-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 0068055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 0068055) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 0068055) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-10-29 |