| NPI | 1265207930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE BARRUETA Owner 786-252-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |