| NPI | 1447823430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULEXIS NAVARRO Administrator 786-409-4872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-06-25 |