| NPI | 1407281389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA ACOSTA Administrator 305-836-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |