| NPI | 1013262377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSSANA LOPEZ Owner 305-836-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64156) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME64156) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |