NPI | 1295821593 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR JOSEPH DOMINGUEZ Medical Director 305-271-0445 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME85157) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-09-04 |