NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1396994943 |   |   |   | CANYON GATE MEDICAL GROUP, LLC | 2929 N UNIVERSITY DR | CORAL SPRINGS | FL | 330655081 |
1164495206 | FORD | JUDITH | P. |   | PO BOX 98978 | LAS VEGAS | NV | 891938978 |