| NPI | 1184488447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HODELIN AQUINO GOMEZ President 786-683-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-01-30 |