| NPI | 1306249008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY VICTORIA WARIBOKO CEO 305-528-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.096373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.096373) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2016-05-05 |