| NPI | 1477605285 |
|---|---|
| Doing Business As | SOUTHERN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LISA LACOVA Billing Manager 954-426-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-02-11 |