| NPI | 1447845995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIO VARANY ESTRADA MOLINA President 954-470-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-10-08 |