| NPI | 1639830110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCELOT MOISE President 954-237-6409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |