NPI | 1366630873 |
---|---|
Entity Type | Organization |
Authorized Contact | ADONIS PARDO Doctor 305-962-7341 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 11446) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3287) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2012-03-20 |