| NPI | 1295483113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADIGSON R SORIA President 305-494-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |