| NPI | 1447734322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DEDE Office Manager 954-851-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me13408) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |