| NPI | 1386700912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA COLUMBIE President 305-884-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC7720) |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-08-19 |