| NPI | 1275836330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA GONZALEZ President/Sole Proprietor 305-220-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME59833) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |