| NPI | 1699217281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA FENTON President 954-771-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11264) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-01-17 |