NPI | 1407439078 |
---|---|
Entity Type | Organization |
Authorized Contact | LAZARO A CASTRO President/Manager 786-719-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261QR1100X Clinic/Center, Research |
Enumeration Date | 2021-05-03 |
Last Update Date | 2023-10-17 |