| NPI | 1962412973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBAN BERKLEY BACCHUS Physician 561-966-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0054352) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |