| NPI | 1568411700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAM WALLS President 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME43546) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-08-10 |