| NPI | 1639905292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ODAZIE Credentialing Manager 954-496-2599 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-10-01 |