| NPI | 1093665341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO GONZALEZ MAURA Authorized Official 305-450-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |