NPI | 1033409008 |
---|---|
Entity Type | Organization |
Authorized Contact | ENRIQUE DE LA COTERA President 305-884-8035 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC8185) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |