| NPI | 1538998547 |
|---|---|
| Other Name | MD004 |
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER CEO 786-530-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |