| NPI | 1275626806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO ENRIQUE LEIVA Physician Assistant 305-558-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9100304) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-12 |