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 |
Enumeration Date | 2024-02-07 |
Last Update Date | 2025-01-23 |