NPI | 1073553319 |
---|---|
Entity Type | Organization |
Authorized Contact | ARACELIS C QUEVEDO President/Owner 305-594-3038 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL HCCR745) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |