| NPI | 1225074230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN FRANCISCO JIMENEZ Director 305-445-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL mm13278) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-08-10 |