| NPI | 1578822185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS VIDALON Owner 954-625-6778 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME0021572) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |