| NPI | 1356481204 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YAMIL CANAAN Physician,President 305-207-3856 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME83652) | 
| Enumeration Date | 2007-02-08 | 
| Last Update Date | 2020-08-22 |