| NPI | 1457522674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KEATING Office Manager 954-563-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME79511) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2009-09-28 |