| NPI | 1831071877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT Interim CFO 954-473-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-11-04 |