| NPI | 1023206836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINORIS LUIS Medical Director 305-821-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME15078) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |