| NPI | 1326814245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH BAUDIN Office Consultant 786-277-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-03-08 |