| NPI | 1386819274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERY MANZANO Office Manager 305-207-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 18355) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |