| NPI | 1760990188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLOW B. HERNANDEZ Chief Executive Officer 954-514-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-01-05 |