NPI | 1124646898 |
---|---|
Former Legal Business Name | PURA VIDA MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | NURY CARBAJAL CEO 305-874-3909 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2020-07-09 |
Last Update Date | 2020-07-09 |