| NPI | 1902119126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DESMOND KAVANAGH Owner 305-904-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96603) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-12-14 |