| NPI | 1629751466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B PASSANTINO CEO, Physician 954-495-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-04-19 |