| NPI | 1316616063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA VILLALI Dir Practice Mgmt Ldr 305-586-7288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |