| NPI | 1215368469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILE B PORRO Medical Director 786-310-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME83959) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |