| NPI | 1104689520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS CRUZ Owner 561-541-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |