| NPI | 1396458725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIBERTO ANGEL MORENO AO 305-662-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-01-03 |