NPI | 1174961833 |
---|---|
Doing Business As | SO FL MULTISPECIALTY ASSOCIATE |
Entity Type | Organization |
Authorized Contact | MIGUEL ISAAC GARCIA CEO & President 305-695-0644 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2013-06-04 |
Last Update Date | 2013-06-04 |