| 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 |