| NPI | 1417666538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GUIMBARDA President 786-879-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-11-08 |