NPI | 1083810386 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMON ANTONIO PICHARDO President 305-553-4371 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME90680) |
Enumeration Date | 2007-06-23 |
Last Update Date | 2020-08-22 |