| NPI | 1912056110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS GLICKMAN Office Manager 954-229-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME0047088) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-09-17 |