NPI | 1366896904 |
---|---|
Entity Type | Organization |
Authorized Contact | JORGE GARCIA Credentialing Director 305-606-0337 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME122433) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2016-04-20 |
Last Update Date | 2019-08-15 |