| NPI | 1255670592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C FERNANDEZ President 786-315-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME105031) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |