| NPI | 1558322289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SMALL Practice Administator 305-944-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69729) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102803) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-12-16 |