| NPI | 1184292021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAILY REYES President 786-612-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-12-06 |