| NPI | 1265548507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LARRAMENDI Physician Assistant 305-553-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0065801) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-03-01 |