| NPI | 1346798162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA CAMPILLO Administrator 786-241-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-07-21 |