| NPI | 1740459924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYCUS Doctor 954-753-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL OS 8863) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-06-16 |