| NPI | 1962090993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED DEEB Owner, Authorized Official 954-483-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center Health Service | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-04-02 |