| NPI | 1184286890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND BARDISA Doctor 305-661-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-07-27 |