| NPI | 1942790621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISES A ISSA President 954-563-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |