| NPI | 1417815689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR DE LA CRUZ Managing Director 786-752-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-01-20 |