| NPI | 1518366178 |
|---|---|
| Doing Business As | NORTHSIDE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL OLSON President 305-295-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0066579) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |