NPI | 1982620324 |
---|---|
Entity Type | Organization |
Authorized Contact | RENE A REYES Physician 954-983-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 84793) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 26292) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2009-02-13 |