| NPI | 1871765727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAD MABOURAKH Physician 954-720-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME67283) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-11-27 |