| NPI | 1982008215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BARACK Managing Member 954-299-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME111972) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |