| NPI | 1417832536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA COLLADO Director Of Operations 786-971-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |