| NPI | 1861382004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY MANDLER Manager 305-890-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-08-13 |