| NPI | 1679889968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BURKE Mcc 954-782-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10256) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS10256) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS10256) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-01-06 |