| NPI | 1245586221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS VERDEZA President 786-332-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9100864) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |