| NPI | 1710161963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN GITTMAN M Edical D Irector 954-941-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0051209) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |