| NPI | 1316439805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO LOPEZ- FERNANDEZ Medical Director 786-878-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-05-04 |