NPI | 1437404381 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS DOMINGUEZ Owner 305-860-5407 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 113513) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2012-12-04 |