| NPI | 1992102891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CAMPBELL Director Of Billling And Collection 954-691-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |