| NPI | 1427056480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L ACEVEDO Owner/Director 305-882-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC4595) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |