| NPI | 1124736814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHARLES Physician Assistant 305-492-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-10-24 |