| NPI | 1598124851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARDS Director Of Account Management 561-413-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-04-14 |