| NPI | 1891728119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA M JEAN-PIERRE General Practice 954-458-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL ME85417) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |