| NPI | 1205592656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLEYDSON DA SILVA CEO 305-200-5210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |