| NPI | 1831219948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRY WAJDA Office Manager 954-741-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-12 |