| NPI | 1720227523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JAMAL ROBINSON Manager 954-564-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME86367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83200) |
| 207R00000X Internal Medicine (Licence: FL ME86367) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME86367) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A83200) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A83200) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-05-07 |