| NPI | 1417179524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA CUEVAS Medical Billing Specialist 561-732-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0085822) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |