| NPI | 1831487529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A EDSON Owner 954-661-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 111NN1001X Chiropractor, Nutrition | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |