| NPI | 1760744890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO LUIS GONZALEZ Medical Doctor 954-577-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0050165) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |