| NPI | 1245695170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS PLASENCIA Physician/ Owner 305-554-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME0045681) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |