| NPI | 1598201790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JACOBS Owner 954-895-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY ME83309) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |