| NPI | 1255722831 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BISMARK FRANCISCO GONZALEZ President 305-238-2262 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME62724) | 
| Enumeration Date | 2015-02-18 | 
| Last Update Date | 2015-02-18 |