| NPI | 1063750164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO S MENDEZ Owner/ President 786-953-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC10264) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2014-07-01 |