| NPI | 1104307370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANY GUZMAN Billing Director 305-532-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME00449683) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-10-14 |