| NPI | 1932583184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BASSETT Pres 954-655-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME66781) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |