| NPI | 1366242281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOMINGUEZ CEO 786-548-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-05-19 |