| NPI | 1750418299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ALICE LARA Vice Presidentd 954-517-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME79139) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |