| NPI | 1699217174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY MALOY Owner 954-558-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 113569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 113569) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 113569) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-12-22 |