| NPI | 1417600636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE BONETTI Associate Director 305-500-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-08-19 |