| NPI | 1427174747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINO BERNABE FERNANDEZ Owner 305-444-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME39453) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME39453) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-03-05 |