| NPI | 1336762327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONINA EREMENKO CEO 786-673-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2021-09-06 |