| NPI | 1437557386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENIN ACEVEDO President 305-823-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME115954) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9291008) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2021-06-29 |