| NPI | 1790122778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR B BOLTON President 954-445-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS 2458) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-11-06 |