| NPI | 1013178839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA C NOVOA-VOGT Practice Administrator 305-596-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME83960) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |