| NPI | 1396002929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELAINE SOUTO CEO 786-378-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine Adolescent Medicine |
| Additional Taxonomies | 1744R1102X Specialist Research Study |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-12-31 |