| NPI | 1356719462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ASCENCION President 786-370-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |