| NPI | 1801647169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZSANDRA RODRIGUEZ Owner 954-324-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |