| 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 |