| NPI | 1609287929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P DUDLEY COO 954-318-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |