| NPI | 1639478571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KELLY TAYLOR Administrator 954-484-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |