NPI | 1952693301 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH TAN-CHIU Physician Owner 954-582-1828 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME73690) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2011-05-04 |