| NPI | 1427641026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CARRODEGUAS CEO 305-398-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-07-28 |