| 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 |