| NPI | 1184864662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE D GIL President 305-403-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME102645) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME102645) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |