| NPI | 1053327577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A CHAMAH Director Owner 305-820-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME63363) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9100815) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |