NPI | 1528505898 |
---|---|
Entity Type | Organization |
Authorized Contact | SARIKA BADGAMIA Billing Manager 954-415-4421 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108828) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |