| NPI | 1851575658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HERRERA Owner 954-720-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME0054912) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2010-07-09 |