NPI | 1265854483 |
---|---|
Entity Type | Organization |
Authorized Contact | GRISEL VALDES Owner 786-348-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 111NR0400X |
Enumeration Date | 2014-01-07 |
Last Update Date | 2014-01-07 |