| NPI | 1306780606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GONZALEZ Owner 305-299-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |