| NPI | 1275184855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMIL JACOMINO President 786-606-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-07-01 |