NPI | 1811584030 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE D LAKES Senior Paralegal 954-446-0640 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QH0002X Family Medicine, Hospice and Palliative Medicine | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
Enumeration Date | 2020-12-22 |
Last Update Date | 2025-07-14 |