| NPI | 1124394143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ORLANDO DELACRUZ Clinic Director 786-251-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice (Licence: me83960) |
| 111N00000X Chiropractor (Licence: FL ch0006020) | |
| 363A00000X Physician Assistant (Licence: FL pa9100796) | |
| 208D00000X General Practice (Licence: me90842) | |
| 363A00000X Physician Assistant (Licence: FL pa9100850) | |
| 111N00000X Chiropractor (Licence: FL chooo5941) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2013-11-05 |