| NPI | 1528347143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB TYLER Office Manager 786-715-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |