| NPI | 1164889796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN ALARCON President 305-904-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |