| NPI | 1699265363 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOISES A ISSA President 954-983-9191  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2018-05-17 | 
| Last Update Date | 2018-05-17 |