| NPI | 1134477987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE LOPEZ-MOSCOSO Owner 561-272-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0037569) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |