| NPI | 1790184240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO PEREZ Office Manager 954-870-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |