| NPI | 1538923560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT BERTRAM CFO 305-763-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-13 |