| NPI | 1255569844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH VALENCIA President 305-222-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME98844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98844) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2022-11-04 |