NPI | 1669270534 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN GALVAN Credentialing Manager 305-500-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208D00000X General Practice |
207Q00000X Family Medicine | |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-03-05 |