| NPI | 1184247033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORIALYS RODRIGUEZ Physician Assistant 786-307-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |