| NPI | 1316362684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO DELGADO Owner 786-502-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME57069) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9383141) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2022-07-21 |