| NPI | 1083214142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ANTONIO OTAYEK CFO 786-440-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |