| NPI | 1760784268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THEVENIN JR, MD Medical Doctor 305-238-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0061428) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |