| NPI | 1134602980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANAIZA M QUINONES Billing Administrator 561-683-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-06-12 |