| 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 |