NPI | 1326300328 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS JUAN LOPEZ President 305-270-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 93502) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2012-06-19 |