| NPI | 1598043101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY L BERKSHIRE President 305-553-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS7645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS7645) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2011-07-31 |