| NPI | 1295395531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDY MUNOZ President 786-401-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-01-31 |