| NPI | 1447491402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MARTIN President 305-598-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME81313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME106122) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2683) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2012-05-29 |