| NPI | 1134402001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUSTIN DE CARDENAS President/Owner 786-401-7857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL MA 37781) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |