| NPI | 1134452329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INTI FERNANDEZ President 305-225-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME97323) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2012-11-06 |