| NPI | 1144868589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RAAD Authorized Official 786-233-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-02-26 |