| NPI | 1639347214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART E KOPP Medical Director 954-943-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS3754) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |