| NPI | 1467472068 |
|---|---|
| Former Legal Business Name | LAS OLAS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S CARON Medical Director 954-763-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME82806) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-08-26 |