| NPI | 1740896281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ARVELO Credentialing Specialist 954-998-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |