| NPI | 1417176397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS M CAMPILLO Medical Doctor 305-636-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0064856) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-01-07 |