| NPI | 1114305851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA G TORRES CFO 786-648-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2025-03-31 |