| NPI | 1508277518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART K GERSHENBAUM Owner,President 954-634-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS4663) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |