| NPI | 1457857401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-09-11 |