| NPI | 1063224756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NURIEL CEO 321-235-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-07-08 |