NPI | 1184416117 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW W BERRIOS Owner 844-362-4782 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
261QU0200X Clinic/Center, Urgent Care | |
2083A0300X Preventive Medicine, Addiction Medicine | |
2083C0008X Preventive Medicine, Clinical Informatics Specialist | |
Enumeration Date | 2025-05-17 |
Last Update Date | 2025-09-05 |