| NPI | 1205252376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGELA HERRERA President 786-703-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-06-30 |