| 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 |