| NPI | 1275588279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO CANDELARIO MORENO President 305-820-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME90254) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-10-15 |