| NPI | 1376625780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN D RODRIGUEZ President 305-824-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS7908) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-12-03 |