| NPI | 1700252079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL MANGRA Owner/Physician 954-484-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME62781) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |