| NPI | 1538106919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GRNJA CFO 954-929-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC6244) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-07-31 |