| NPI | 1922012087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY BRUCE GOULD President 954-382-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-06-26 |