| NPI | 1376033951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDA COBBINAH Physician/Medical Director 305-794-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6800) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |