| NPI | 1457723215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN SHIKARA President 561-932-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-12-04 |