| NPI | 1114609419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUSAYMA SANCHEZ Billing Director 786-452-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-11-14 |