| NPI | 1053852186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK BAPTISTA President 305-603-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: FL ME111279) |
| Additional Taxonomies | 104100000X Social Worker |
| 207Q00000X Family Medicine (Licence: FL ME111279) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: ME111279) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL ME111279) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-05-01 |