| NPI | 1376422113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA T ROQUE PEREIRA President 786-716-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |