| NPI | 1275301194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULAK LANDA Administrator 305-833-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-07-23 |