| NPI | 1215732557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAMAR MAURICE Owner 305-490-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |