| NPI | 1336707983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN S DOMINGUEZ C.E.O 305-392-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |