| NPI | 1457020646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSELIS TITO Owner 305-846-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2025-10-08 |