| 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 |