| NPI | 1457067258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE D SUAREZ Cmo 305-534-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-10-30 |