| NPI | 1619229226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA F COOPER Owner 954-661-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 57999) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2025-12-06 |