| NPI | 1871848036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG POPKIN Owner/President 954-328-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME78747) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |