| NPI | 1144979949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO SEGURA Medical Director/President 786-301-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-12-06 |