| NPI | 1083699490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR L HERNANDEZ President/Owner 305-279-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME57645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME57645) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-07-31 |