| NPI | 1790287878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIA ABDULLA Medical Director 954-465-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2020-03-25 |