| NPI | 1902621329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO GOMEZ Managing Member 954-224-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-12-04 |