NPI | 1154688174 |
---|---|
Entity Type | Organization |
Authorized Contact | PETE A. GUTIERREZ President 305-606-5317 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL PA3622) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2012-06-06 |