| NPI | 1881607562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERWIN ASHLEY WESTERBURGER President 954-578-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 425168) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-11-04 |