| NPI | 1275904344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO A PEREZ President 305-401-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2017-05-10 |