NPI | 1295192086 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA M ACOSTA Md/President 786-360-4423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN 734) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 59402) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2016-01-25 |