| NPI | 1508130634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LEVY President 305-649-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC9742) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL HCC9742) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |