| NPI | 1164875381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSE FERNANDEZ President 786-558-8073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME38850) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |