| NPI | 1124773700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABELLE HERNANDEZ Vice President 786-224-6884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 251B00000X Case Management | |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-16 |