| NPI | 1336484484 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | CARLOS DE SOLO Chief Executive Officer 305-649-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME47178) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2024-08-19 |