| NPI | 1700929015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES ANZALONE Director Of Payer Relations 954-318-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |