| NPI | 1992388805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM KHAN Credentialing Manager 954-431-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2026-03-18 |