| NPI | 1275178964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN DOMINIQUE MORANCY CEO 786-523-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2019-11-17 |