| NPI | 1104192277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RODRIGUEZ President 305-818-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ahca hcc9632) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |