| NPI | 1700947884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE HARDOON Director Md 321-259-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-01-24 |