| NPI | 1013175074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYELIN ALDEBOT Practice Administrator 786-623-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS8492) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-06-07 |