| NPI | 1033770524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON CHAVEZ President 305-200-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-05-08 |