| NPI | 1306067293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FIALLO President 305-836-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 208D00000X) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |