| NPI | 1447283254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO SOCORRO President 305-888-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC 6263) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |