| NPI | 1194464065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLES PERDOMO Owner 786-683-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-06-10 |