| NPI | 1396274411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA R HERRERA SOTO Owner 321-349-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME114704) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2021-12-09 |