| NPI | 1073924205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO ACOSTA RUIZ A RN P/President 786-925-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 9276026) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-09-24 |