| NPI | 1750629408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KONDAS Officer 954-838-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2019-09-16 |