| NPI | 1710016860 |
|---|---|
| Other Name | PCP OF LAUDERDALE LAKES |
| Entity Type | Organization |
| Authorized Contact | PETER ANZALONE Director 954-318-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |