| NPI | 1811309867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HEATH BRODTMAN Owner/Physician 561-795-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL OS8623) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |