| NPI | 1063411874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZEL VIONET GONZALEZ Senior Executive VP Of Hr 305-583-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| 251S00000X | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-08-28 |