| NPI | 1720385362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BRADLEY Office Manager 954-741-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0042650) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |