| NPI | 1649456583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN WELLEN Managing Physician 305-931-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME35679) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-11-13 |