| NPI | 1619946837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY BETH MALE Practice Manager 305-598-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0071416) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS8299) |
| 207R00000X Internal Medicine (Licence: FL ME52945) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-07-09 |