NPI | 1245413905 |
---|---|
Entity Type | Organization |
Authorized Contact | RENE CASANOVA Medical Director 305-363-3675 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN961) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 279233800) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2018-03-17 |