| NPI | 1245008713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS D VILLALBA CEO 305-885-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |