| NPI | 1366863409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR ESCOBAR Md 305-385-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |