| NPI | 1194009092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULIA R BENAZAT President 305-456-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME81181) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME81033) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |