| NPI | 1205079563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA I RENTE Owner 305-553-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME67738) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME67738) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |