| NPI | 1801160015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAM BERENS President 954-916-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0045001) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: FL ME0045001) |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: FL ME0045001) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |