| NPI | 1407157308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE S. ESTEVEZ Executive Director 305-305-5165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 0067164) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-12-23 |