| NPI | 1144710146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURISADAY RONES Manager 786-651-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-07-27 |