| NPI | 1104656636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THINH H. TRAN Co Founder Board Of Director Member 305-781-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |